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Provider Network Manager Jobs in Philadelphia, PA

Td

Manager Network Service Delivery (US)

Mount Laurel, NJ · On-site

$98K - $159K/yr

Experience managing SLAs, KPIs, service governance, vendors, and service providers. * Strong ... Network observability and performance monitoring * Major incident, problem, and change management

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Philadelphia, PA

Provider Network Manager information

See Philadelphia, PA salary details

$22.2K

$107.5K

$164K

How much do provider network manager jobs pay per year?

As of Aug 30, 2026, the average yearly pay for provider network manager in Philadelphia, PA is $107,538.00, according to ZipRecruiter salary data. Most workers in this role earn between $81,200.00 and $129,200.00 per year, depending on experience, location, and employer.

What is a provider network manager?

A Provider Network Manager is a professional responsible for developing, maintaining, and optimizing relationships with healthcare providers within a health insurance organization's network. They negotiate contracts, ensure provider compliance with policies, and work to expand or improve the network to meet the needs of members. Their role often involves analyzing network performance, resolving issues between providers and the insurer, and ensuring the network meets regulatory requirements. Provider Network Managers play a crucial part in ensuring quality, accessible, and cost-effective care for insured individuals.

What are the key skills and qualifications needed to thrive as a provider network manager?

To thrive as a Provider Network Manager, you need expertise in healthcare network development, contract negotiation, and knowledge of insurance regulations, often supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with network management software, claims processing systems, and regulatory compliance platforms is typically required. Strong interpersonal skills, analytical thinking, and effective communication are crucial for building relationships and resolving issues with providers. These skills ensure efficient network operations, regulatory adherence, and the delivery of high-quality, cost-effective healthcare services.

What are some common challenges faced by provider network managers when negotiating contracts with healthcare providers?

Provider Network Managers often encounter challenges such as balancing competitive reimbursement rates with cost containment goals, navigating complex regulatory requirements, and addressing provider concerns regarding network participation. They must also ensure that contracts align with organizational standards while maintaining positive relationships with providers. Effective communication, negotiation skills, and a solid understanding of both payer and provider perspectives are crucial for overcoming these obstacles and building a robust network.

What is the difference between Provider Network Manager vs Provider Relations Specialist?

AspectProvider Network ManagerProvider Relations Specialist
CredentialsTypically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CHC are commonOften requires similar credentials, with a focus on communication or healthcare certifications
Work EnvironmentWorks in healthcare organizations, insurance companies, or managed care settings, managing networks and contractsWorks in provider offices or insurance companies, focusing on building and maintaining provider relationships
Employer & Industry UsageCommonly employed by health plans, insurance companies, and healthcare networksEmployed by insurance companies, healthcare providers, and managed care organizations

The Provider Network Manager and Provider Relations Specialist roles share overlapping credentials and work environments within healthcare and insurance industries. While the Provider Network Manager focuses on managing provider networks and contracts, the Provider Relations Specialist emphasizes building provider relationships and communication. Both roles are essential for effective healthcare delivery and insurance operations, often working closely together to ensure provider satisfaction and network efficiency.

Is provider network manager a stressful job?

Provider network managers often face stress due to managing provider relationships, ensuring network compliance, and meeting organizational goals. The role requires strong organizational skills and the ability to handle multiple priorities, which can contribute to a high-pressure environment.

What does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and an organization, ensuring network adequacy, contract negotiations, and compliance with regulations. They analyze provider data, coordinate with internal teams, and may use network management tools to optimize provider access and quality of care.

What are the most commonly searched types of Provider Network jobs in Philadelphia, PA?

The most popular types of Provider Network jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Provider Network Manager jobs?

Cities near Philadelphia, PA with the most Provider Network Manager job openings:

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Philadelphia, PA as of August 2026, with employment types broken down into 94% Full Time, 3% Part Time, and 3% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $107,538 per year, or $51.7 per hour.

Strategic Provider Network Manager

NEST - Integrated Facilities Management

NJ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

ISP Relations Manager
Lead the Network. Drive Operational Excellence. Build Lasting Partnerships.
If you're a strategic leader who thrives on building strong business relationships, developing high-performing teams, and improving operational performance, this is your opportunity to make a measurable impact while helping shape the future of service delivery.
Sewell, New Jersey / Naples, Florida
Who We Are
NEST is a pioneer in the Integrated Facilities Management (IFM) industry. Since 1994, we've helped multi-site organizations reduce costs and improve operational performance through industry-leading technology, operational excellence, and a nationwide network of trusted Independent Service Providers (ISPs).
Our success is built on strong partnerships-with our clients, our service providers, and each other.
What You'll Do
As the ISP Relations Manager, you'll lead a growing department responsible for developing, managing, and optimizing NEST's nationwide Independent Service Provider (ISP) network. You'll oversee provider strategy, team leadership, operational performance, and continuous improvement initiatives that directly impact customer satisfaction, service quality, and company profitability.
You'll work closely with Operations, Client Services, Finance, Technology, and other departments to ensure our provider network continues to deliver exceptional service across every market we support.
Responsibilities include:
  • Lead the day-to-day operations of the ISP Relations department while coaching, developing, and supporting Supervisors, Specialists, and Associates.
  • Build, grow, and maintain a high-performing nationwide network of Independent Service Providers.
  • Oversee provider sourcing, onboarding, compliance, credentialing, performance management, and relationship development.
  • Conduct recurring business reviews with providers to improve service quality, operational performance, compliance, and profitability.
  • Negotiate provider pricing and agreements while balancing long-term partnerships with company financial objectives.
  • Analyze provider performance, utilization, market coverage, and operational trends to identify improvement opportunities.
  • Identify provider coverage gaps and implement strategic recruiting and retention initiatives to strengthen the network.
  • Monitor departmental KPIs, dashboards, and reporting to drive informed business decisions.
  • Develop and implement process improvements that increase efficiency, consistency, and service quality.
  • Champion technology enhancements, reporting tools, automation, and system improvements that support operational excellence.
  • Partner with Operations, Client Services, Finance, Human Resources, and Technology to achieve organizational objectives.
  • Resolve escalated provider and client concerns while maintaining exceptional customer satisfaction.
  • Foster a culture of accountability, continuous improvement, collaboration, and professional development within the department.
Who Thrives in This Role
  • Strategic leaders who enjoy developing people and building high-performing teams.
  • Relationship builders who excel at negotiating and managing long-term business partnerships.
  • Analytical decision-makers who balance financial performance with operational excellence.
  • Collaborative professionals who enjoy solving complex business challenges across multiple departments.
  • Leaders who embrace accountability, innovation, and continuous improvement.
  • Professionals who are energized by creating scalable processes and driving measurable results.
Requirements
  • Bachelor's degree in Business Administration, Operations Management, Supply Chain Management, or a related field.
  • Minimum of 7 years of progressive experience in facilities management, vendor management, supplier management, contractor network management, field service operations, or a related operational environment.
  • Minimum of 3 years of leadership experience managing teams and developing employees.
  • Strong financial acumen with experience analyzing profitability, pricing strategies, KPIs, and operational metrics.
  • Experience leading cross-functional operational initiatives and driving continuous improvement.
  • Excellent communication, negotiation, coaching, and relationship management skills.
  • Strong analytical and problem-solving abilities with the ability to make data-driven decisions.
  • Proficiency in Microsoft Office, particularly Excel and Word.
  • Ability to travel up to 20% as business needs require.
Preferred Qualifications
  • Experience managing a nationwide provider, contractor, supplier, or service network.
  • Experience within facilities management, field services, construction, maintenance, logistics, or other multi-site service organizations.
  • Experience utilizing CRM, ERP, vendor management, or workforce management systems.
  • Experience developing performance dashboards and operational reporting.
Pay & Perks
  • Competitive salary commensurate with experience starting in the $80K range.
  • Eligibility for Company Incentive Program.
  • PTO package including holidays, vacation, personal, and sick time.
  • Medical plans with employer contribution.
  • 401(k) with company match.
  • Employer-paid life insurance ($15,000).
  • Employee Assistance Program (EAP).
  • Optional Dental, Vision, Pet Insurance, Legal, and Identity Protection plans.
  • Professional development and career growth opportunities.
  • Company-sponsored engagement and philanthropic events.
Our Values
Innovation - Driving results through technology and operational excellence.
Helping - Supporting our clients, communities, service providers, and employees.
Together - Building trusted partnerships through teamwork, respect, and collaboration.
Equal Opportunity Employer
NEST is proud to be an Equal Opportunity and Equal Pay Employer.
If you're ready to lead a nationwide provider network, develop exceptional teams, and drive operational excellence, we'd love to hear from you.
Apply today and help shape the future of Integrated Facilities Management at NEST.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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